Questions 46

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ATI Maternal Newborn Care Exam 4A Questions

Extract:

A nurse is assisting a client with breastfeeding her newborn.


Question 1 of 5

The nurse should explain that which of the following reflexes will initiate sucking?

Correct Answer: A

Rationale: The rooting reflex prompts the newborn to turn toward a stimulus and suck.

Extract:

At 0330, a nurse is caring for a client who is postoperative. The client's IV fluids are infusing at 120 mL/hr.


Question 2 of 5

How many mL of IV fluid should in by 0600?

Correct Answer: B

Rationale: From 0330 to 0600 is 2.5 hours; 120 mL/hr × 2.5 hr = 300 mL.

Extract:

A nurse is caring for a client who is postpartum and asks, 'When will my breast milk come in?'


Question 3 of 5

Which of the following responses should the nurse make?

Correct Answer: A

Rationale: Breast milk typically comes in 3-5 days post-delivery during lactogenesis II.

Extract:

A nurse is caring for a client 2 hr following a spontaneous vaginal delivery and notes that the client has saturated two perineal pads with blood for a 30-min period.


Question 4 of 5

Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: Checking the fundus first assesses for uterine atony, a common cause of excessive bleeding.

Extract:

A nurse is caring for a newborn.


Question 5 of 5

How many blood vessels should the nurse expect to observe in the newborn's umbilical cord?

Correct Answer: C

Rationale: The umbilical cord typically has two arteries and one vein for fetal circulation.

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